Eating Disorders, Substance Abuse, Schizophrenia & Personality Disorders Flashcards
(185 cards)
1
Q
the hardest population to work with
A
ppl with eating disorders
2
Q
2 main diagnosis of eating disorders
A
- anorexia nervosa
- bulimia
3
Q
these 2 diagnosis both have a fear of gaining weight
A
- anorexia nervosa
- bulimia
4
Q
binge eating is now in the ___
A
DSM-5
5
Q
this eating disorder has no drive become thin or diet
A
binge eating
6
Q
diagnosis of binge eating is
A
1x a week for over 3 months
7
Q
anxiety forces us back to
A
addictions
8
Q
these ppl eat so much & repeat binges
A
binge eating
9
Q
this eating disorder has an intense fear of gaining weight
A
anorexia
10
Q
ppl with this eating disorder refuse to maintain 85% of their normal weight
A
anorexia
11
Q
losing menstral cycle
A
amenorrhea
12
Q
ppl with anorexia have ___ like rituals
A
OCD
13
Q
binge eaters can’t maintain normal weight
A
true
14
Q
anorexia can kill you
A
true
15
Q
bulimia leads to anorexia
A
true
16
Q
these ppl force themselves to vomit after meals & abuse laxitives
A
binge eaters
17
Q
bulimia is aka
A
binge/purge syndrome
18
Q
you can’t tell if a person has this eating disorder
A
bulimia
19
Q
of the 3 eating disorders, this is the less dangerous
A
bulimia
20
Q
diagnosis for bulimia is
A
1-30 binges per week, several yrs of symptoms
21
Q
binges have __ calories at a time
A
10,000
22
Q
bulimia & anorexia have similarities
A
true
23
Q
similariites of bulimia & anorexia are
A
- fears of being obese
- substance abuse
- distorted body perception
- heightened risk of suicide
24
Q
differences btwn bulimia & anorexia are
A
bulimia: mood swings
teeth probs/ruptured esophagus
poor coping skills
anorexia: relationship is with food & no one else
no fuel to the body, so it shuts down
25
disturbed mother/child interactions, ego deficiencies,no coping/comfort skills, empirical support
Bruch
26
depression sets the stage of an eating disorder
true
27
% of eating disorders with identical/fraternal twins
identical: 70%
fraternal: 20%
28
stimulates eatin
lateral hypothallamus
29
makes us feel full
ventral hypthallamus
30
women with high SES are more at risk of an eating disorder
true
31
men are likely to ____, while women are most likely to____
exercise, diet
32
contributing factors of an eating disorder
- societal pressures
- family environment
- racial/multicultural
- gender
- psychological
33
Treatment for anorexia
- treat malnutrition/ hospital
- regain lost weight( power struggle)
- supportive nutritionist
- family therapy
- core pathology (cog side)
- antidepressants
34
Positive side of treatment
- menstruation starts again
| - 90% improvement
35
Negative side of treatment
- recovery isn't always permanent
| - disorder is triggered by stress
36
Psych problems of anorexia
- depression
- anxiety
- low self esteem
- indefinite drive of perfectionism
37
Medical probs of anorexia
- slow heart rate
- low blood pressure/ temp
- low bone density
38
Treatment for bulimia
- eliminate binge patterns
- establish good eating habits
- change attitude towards good
- group/family/psychodynamic therapy
- antidepressants
39
Treatment for Binge eating
CBT
40
Any substance that affects bodies/ minds
Drug
41
Pattern of maladaptive behavior/reactions bright about by repeated use of substance
Substance use disorder
42
This can cause changes in behavior, emotion & thought
Substances
43
Chronic, neurobiological genetic disease, psychosocial/ environmental factors that influence it's development/ manifestations
Addiction
44
Diagnosis of addiction has 1 or more of
- loss of control over drug use
- continued use despite harm
- compulsive use/ craving
45
When a person needs to take more of drug to achieve same effect
Tolerance
46
2 weeks, syndrome that often begins within a few hrs of stopping the drug
Withdrawal
47
Anorexia is __% females
90
48
Alcohol has the most dangerous withdrawals
True
49
This is the body's way of getting back to normal
Withdrawal
50
Intense desire to use increased amounts of a particular substance
Abuse
51
These meds slow the activity of the CNS, interfere with motor activity & reduce tension
Depressants
52
This drug affects the brain area which controls judgement/ inhibition, slow reaction times & weak memory, emotions
Alcohol
53
5 drinks and special occasions
Binge drinking
54
Withdrawal of alcohol
- nausea/ vomiting
- delirium
- can be fatal
- serosis of liver
- plays roles in suicides/homicides/rapes
55
Men outnumber women ____ with alcohol
2:1
56
Hypnotic drug
Sedatives
57
Anxiolytics, produce feelings of relaxation, drowsiness, reduce anxiety
Sedatives
58
Pill form, reduce excitement, 1st generation, can halt breathing
Barbiturates
59
Most popular, relieves panic attacks, doesn't cause drowsiness, less likely to slow breathing, 2nd generation
Benzodiazapines
60
the essential feature of abuse is the
pattern of substance use
61
3 most widely used depressants
- alcohol
- sedative/hypnotic drugs
- opiates
62
this depressant is aka as narcotics
opiates
63
opiates are ___ addictive & relieves pain
highly
64
this is the most powerful natural stimulant known
cocaine
65
this is odorless, fluffy powder that produces a euphoric rush of well-being/ confidence
cocaine
66
this is when you heat and inhale with a pipe
free base
67
side effect of cocaine is __ when you stop using
crashing
68
this stimulant appears to increase serotonin and overstimulates dopamine levels
cocaine
69
4 most common stimulants are
- cocaine
- amphetamines
- nicotine
- caffine
70
this stimulant is manufactured in labs, used to increase energy, mostly diet pills
amphetamines
71
most popular amphetamine in the US
meth
72
this produces flashbacks even w/o taking the drug, can have bad trips
hallucinagines
73
ecstasy & LSD are ___ produced
lab
74
hallucinogens aka
psychadelic drugs
75
natural hallucinogens are
- mescaline
| - pscyclobin
76
when diff. drugs are in the body at the same time, they can multiply each other's effects
synergistic effect
77
causes of stimulant/hallucinogens
- sociocultural
- psychodynamic
- biological
78
sociocultural reasons for stimulant abuse
ppl develop patterns b/c of stressful environ./ family issues
79
psychodynamic reasons for stimulant abuse
dependency needs, lack of parenting/nurturing, personality
80
biological reasons for stimulant abuse
almost all drugs begin with dopamine, genetic predisposition
81
cognitive-behavioral reasons for stimulant abuse
operant conditioning, rewards/punishments, CBT
82
when they use so much, so often that normal life events don't bring them pleasure, so drugs get that need back for them
reward deficiency syndrome
83
this treatment is medically supervised withdrawal (2 days)
detox
84
drugs that oppose each other & reduce activity of the drug
antagonistic drug
ex: when taking methadone, you can't get high if they used heroine
85
another addictive disorder the DSM-5 added was
gambling
86
state defined by a loss of contact with reality
psychosis
87
religion is strong with this disease
schizophrenia
88
this disease can be brought on by brain injury/ substance abuse
schizophrenia
89
false sensory perceptions
hallucinations
90
1% of the world has this
schizophrenia
91
average age of men & women developed schizophrenia & what % is married?
M: 21, W: 27, 1%
92
this disease appears in all SES
schizophrenia
93
false beliefs, faulty interpretations of reality
delusions
94
2.5 million Americans suffer from this disease
schizophrenia
95
when schizophrenia causes ppl with high SES to fall to lower levels of SES
downward drift theory
96
positive symptoms of schizo is
adding abnormal behavior
97
negative symptoms of schizo is
taking away abnormal behavior
98
bizarre additions to one's behavior
pathological excesses
99
___% of ppl suffer from delusions with schizo
90
100
most common hallucination for schizophrenic ppl is
auditory
101
emotions that are unsuited/inappropriate in a situation
inappropriate affect
102
characteristics lacking in the person with schizo
pathological deficits
103
poverty of speech
alogia
104
lack of pleasure/enjoyment
adhedonia
105
negative symptoms of schizos include
- social withdrawal
- less emotion
- loss of motivation
106
odd gestures (some have magical quality)
psychomotor symptoms
107
extreme form of psychomotor symptom is rigidity, stupor, awkward movements
catatonia
108
beginning of deterioration, mild symptoms, odd behavior
prodromal phase
109
symptoms are apparent, psychotic breaks appear
active phase
110
return to prodromal like events but on meds
residual phase
111
when stress enters a schizo's life, they go back to the ___ phase
active
112
___ patients fully recover & __ continue to have residual problems
1/4, 3/4
113
recovery depends on how the family fxns as a whole and
how well they were doing before
114
too much dopamine brings out the positive symptoms of schizophrenia
dopamine hypothesis
115
Type 1 is more ____ than Type 2
severe
116
diagnosis of schizophrenia is only if signs continue for
6 months+
117
this Type has a later onset in life, better adjustment prior disorder, dominated by + symptoms
Type 1
118
this Type has an irregular brain activity and is dominated by - symptoms
Type 2
119
predisposition, DNA is already mapped out for us
diathesis
120
this perspective looks at later exposure by extreme stress, genetics & those closely related to a person with schizo is more likely to develop it
biological perspective
121
dopamine hypothesis is based on effectivness of
antipsychotic meds
122
from the biological view ppl with schizo have
- abnormal brain structure : ab. blood flows to certain areas in the brain
- viral problems: exposure to virus before birth
123
psychodynamic view of schizo is that ppl regress to
earliest part of development, harsh parents
124
some ppl are not reinforced for attention is the ___ view of schizo
behavioral
125
this view has faulty interpretations/ misunderstandings of symptoms for ppl with schizo
CBT
126
no boundaries, overinvolved, volatile, emotional
expressed emotion
127
ppl trying to recover from schizo are __ more likely to relapse if they have family dysfxn
4x
128
this is a team approach with drs, nurse & therapist based on humanistic approach
mileu
129
behavioral principles, if they did something right, they got rewarded
token economic
130
this helped with improvement of personal care & self- image of the patient
token economic
131
these drugs reduce schizo symptoms ___%
65
132
this is an unwanted side effect of anti-psychotic drug
tardive, sometimes doesn't go away
133
psycho-social approches are
- case management
- CBT
- social skills training
- family/self-help groups
134
these are characterized by rigid patterns/inner turmoil of the person, problems with relationships
personality disorders
135
these are longstanding, maladaptive thoughts that are troublesome to others, harmful, illegal, probs with sense of self
personality disorders
136
these patterns impair a person's social fxning along with interpersonal difficulties
personality disorders
137
DSM 4-TR has 5 criteria for diagnosing
personality disorders (2 of the 5)
138
DSM-5 has a new & ___ approach to personality disorders
categorical (light switch, you either have it or you don't)
139
DSM 4-TR classifies personality disorders in
3 clusters
140
Cluster A is known as
the odd balls
141
Cluster A has these disorders
- paranoid
- schizoid
- schizotypal
142
these ppl are* suspicious*, have mistrust, *distrustful*, believes everyone is out to get them, they are blameless
paranoid
143
these ppl are shy, have withdrawn behavior, prefer to be alone, unaffected by praise/criticism, very dull, don't want desire to form attachments with others
schizoid
144
these ppl have odd thining, hostile,one step from schizophrenia,magical thinking, inappropriate emotions, very few friends
schizotypal
145
treatment for Cluster A includes
-focus on development of trust
- cognitive therapy for negative thinking
(few seek help on their own)
146
Cluster B is known as
Dramatic
147
these ppl are dramatic, attention seekers, = btwn men/women, eccentric, overreact, overdress to impress, demanding, obsesses with how others perceive them
histronic
148
these ppl expect special treatment, can't take criticism, runs high in males,don't break the law, lack of empathy, *exaggerated sense of self*, weak ego, preoccupied with attention, self-promoting
narcissistic
149
these ppl are emotionally unstable,*, impulsive*, runs high in women, fear is abandonment, loves or hates you, very jealous, seductive, feels empty, seeks fulfillment in outside world, cuts, uses world for fulfillment, can't self soothe
borderline
150
these ppl aka sociopaths, violates ppl's rights, no empathy/conscious, intelligent, charming, aggressive, deceitful, lie to ppl for their own gain, repeated behaviors til they get caught, most common in men, *criminal acts*
anti-social
151
she has disregulation of emotional stability, in pain, splits
borderline
152
this theory states parents aren't paying attention to child's feelings/needs, emotional outbursts are what parents pay attention to and that's the way they grow up
Linehan's diathesis stress theory
153
this theory teaches self-regulation, self-acceptance, & learning to be alone through CBT & social skills training
Linehan's diathesis stress theory
154
Cluster B includes
- anti-social
- borderline
- histrionic
- narcissistic
155
with this disorder, for diagnosis, there needs to be 3 behavioral probs before 15
anit-social
156
treatments for psychopaths
- CBT
- very difficult
- can't work with them psychodynamically b/c they're too superficial & have no conscious
157
Cluster C is known as
anxious/fearful
158
this Cluster has alot of research and the most successful of the 3
Cluster C
159
these ppl are excessively sensitive to potential rejection, desires acceptance but is socially w/drawn, overwhelmed with feelings of inadequacy, timid, depressed, lonely, fear close relationships, 1-2% of population
avoidant
160
these ppl lack in self-confidence, allows others to make decisions for them, clingy, obedient, fears separation and can't make small decisions for themselves, overly sensitive,pleases everyone but themselves, suicidal, depression, eating disorders
dependent
161
watered down version of OCD, perfectionist, has rules, schedules, details, they work and have families, have high standards of themselves and others, concerned for doing things right, difficulty in having fun
obsessive compulsive personality disorder
162
treatment for Cluster C
- CBT
163
causal factors of personality disorders
- genetic factors
- adverse environ, factors
- transitions
164
ppl with this eating disorder are preoccupied with food
anorexia
165
ppl with this eating disorder often have strict rules about their food, have OCD tendencies
anorexia
166
aka binge purge syndrom
bulimia
167
ppl with this eating disorder use laxatives, fasting, exercising excessively, vomit
bulimia
168
ppl with this eating disorder have frequent binges but they're not extreme
binge eating
169
2/3 of ppl with this eating disorder become overweight
binge eating
170
2-7% of population display this eating disorder
binge eating
171
a family system in which members are over-involved with each other's affairs and over concerned about each other's welfare
enmeshed family pattern
172
over __ ppl display substance abuse disorder
22 million
173
this culture shows the highest display of substance abuse
native am indians
174
whites, blacks and hispanics are _% with substance abuse
10%
175
this reduces inhibitions and can interfere with a person's judgment, motor activity & concentration
depressants
176
of ppl who consume alcohol worldwide
2 billion
177
this carries an inhibitory message
GABA
178
this carries excitatory message
glutamate
179
this disorder isn't listed in the DSM-5
internet use gaming disorder
180
made up words schizos use
neologisms
181
conflicting feelings about almost everything
ambivalence
182
these disorders are aka schizo-spectrum disorders
cluster A
183
ppl with this disorder are unable to pick up on emotional ques and their thoughts tend to be vague/empty
schizoid
184
treatment for borderline personality is
psychotherapy and drug therapy
185
ppl with this disorder are always on stage & lack a sense of who they really are
histronic
